Information Collection

CCSF Application

IC 189749 under ICR 200908-1652-002 · OMB 1652-0052.

Documents and Forms

Document Name Document Type
Form TSA Form Number 41 CCSF Application Form and Instruction
TSA Form Number 41 CCSF Security Profile TSA Form 419E_CCSF Security Profile1.doc Form and Instruction
TSA Form Number 41 CCSF Principal Attestation TSA Form 419D_CCSF Principal Attestation.doc Form and Instruction
TSA Form Number 41 CCSF Facility Profile Application TSA Form 419B_CCSF Facility Profile Application.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CCSF Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	TSA Form Number 419E	CCSF Security Profile	TSA Form 419E_CCSF Security Profile1.doc	No	Fillable Printable
Form and Instruction	TSA Form Number 419D	CCSF Principal Attestation	TSA Form 419D_CCSF Principal Attestation.doc	No	Fillable Printable
Form and Instruction	TSA Form Number 419B	CCSF Facility Profile Application	TSA Form 419B_CCSF Facility Profile Application.doc	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.